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Images in Thorax
Granulomatosis with polyangitis (Wegener's)
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  1. Takayuki Takimoto,
  2. Osamu Morimura,
  3. Takako Inoue,
  4. Haruko Terada,
  5. Kinya Abe
  1. Department of Internal Medicine, Toyonaka Municipal Hospital, Toyonaka City, Osaka, Japan
  1. Correspondence to Dr Takayuki Takimoto, Department of Internal Medicine, Toyonaka Municipal Hospital, 4-14-1 Shibahara-cho, Toyonaka City, Osaka 560-8565, Japan; taka2003{at}chp.toyonaka.osaka.jp

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A 51-year-old woman was admitted to our hospital with general fatigue, fever and cough. Upon examination, sinusitis, papules of the planta, polymorph leucocytosis, hypoalbuminaemia and an elevated level of PR3-antineutrophil cytoplasmic antibodies (ANCAs) were found. Her chest radiograph (figure 1A) and thoracic CT (figures 1B 2A) demonstrated a large area of consolidation with air bronchogram and cavitation in the right lung field. …

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